2011-06-07_HYDROLOGY - M1977300

• Permit No: M1977300
• IBM Index Class Name: HYDROLOGY
• Doc Date: 6/7/2011
• Doc Name: June 2011 SW Data
• From: Energy Labs
• To: Cotter and DRMS
• Permit Index Doc Type: Hydrology Report
• Email Name: DB2
• Media Type: D
• Archive: No

Delivered By
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Date Recd.
Time Recd.
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COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
Sample Submittal I 525829
C: P.O. Box 1750 S:
Cafion City, CO 81215
Sample Loc./ID No. 1 '
Sample Date - 7 -a , 0/! Time fl a v
Collected By 13€14, 7 vas A/
Field Custodian / get , 18.4/0114....
6. Invalidating circumstances?
CO ANTS - Explanation of noted
1 42 e” ro ►f E+t e#4Q
•
•
QAC
P.O. Box 1750 N: P.O. Box 700
Callon City, CO 81215 Nncla, .CO 81424
Lab. No.(s)
Date Data Entered
Data Entry By
Laboratory Destination if not Cotter:
c C Oc.. G r y / 1.; f 1 P .S 1. J►i f.
C r v k/ y. rl 2 a2
we"
Sample Type: Air Water 1 Soil Other (specify):
Analysis - Test series requested: o/Q
3. Field Data - Preservation: I" ,,.s i o Ate ^ e/ 2 7 f'` 5 cit.) "`
e CQ eo,... 3.&, 4,5 eft s ; '. 5 . f/ d, 2 S"
1, s
4. Date analysis required by (if not Holding Time):
5. Special handling conditions or other instructions:
If YES initial ( ) ,tk: a explain below.
items: -P, J'Q ,#, / v/
f4 1 14
( ) . Check if additional attachments.
QA Review:
Sample valid? YES ( ) NO ( ) If NO, explain:
Date
z
Page 36 of 41
IS I T:/rrl.V „
Delivered By
Received By
Date Recd.
Time Recd.
1.
2.
•
COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
Sample Submittal I 525829
C: P.O. Box 1750 S:
Cafion City, CO 81215
Sample Loc./ID No. 1 '
Sample Date - 7 -a , 0/! Time fl a v
Collected By 13€14, 7 vas A/
Field Custodian / get , 18.4/0114....
6. Invalidating circumstances?
CO ANTS - Explanation of noted
1 42 e” ro ►f E+t e#4Q
•
•
QAC
P.O. Box 1750 N: P.O. Box 700
Callon City, CO 81215 Nncla, .CO 81424
Lab. No.(s)
Date Data Entered
Data Entry By
Laboratory Destination if not Cotter:
c C Oc.. G r y / 1.; f 1 P .S 1. J►i f.
C r v k/ y. rl 2 a2
we"
Sample Type: Air Water 1 Soil Other (specify):
Analysis - Test series requested: o/Q
3. Field Data - Preservation: I" ,,.s i o Ate ^ e/ 2 7 f'` 5 cit.) "`
e CQ eo,... 3.&, 4,5 eft s ; '. 5 . f/ d, 2 S"
1, s
4. Date analysis required by (if not Holding Time):
5. Special handling conditions or other instructions:
If YES initial ( ) ,tk: a explain below.
items: -P, J'Q ,#, / v/
f4 1 14
( ) . Check if additional attachments.
QA Review:
Sample valid? YES ( ) NO ( ) If NO, explain:
Date
z
Page 36 of 41